Christopher Litts, MD
Surgery of the Hand · Florence, SCNPI 1922061282
Payments from drug & device makers
What this record shows
Peerless Surgical Inc. accounts for 60.3% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $1,600 and has fallen 93.5% since, to $104 in 2024.
Across 23 payments — averaging $84.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Peerless Surgical Inc.$1K
- Skeletal Dynamics Inc$199
- Axogen$115
- Acumed LLC$100
- Medical Device Business Services, Inc.$84
- Musculoskeletal Transplant Foundation Inc.$63
- plus $208 from 7 others
What the payments were for
- Food & beverage$81942%
- Education$1,11558%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Peerless Surgical Inc. | 4 | $1,165 |
| Skeletal Dynamics Inc | 2 | $199 |
| Axogen | 1 | $115 |
| Acumed LLC | 1 | $100 |
| Medical Device Business Services, Inc. | 1 | $84 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $63 |
| Johnson & Johnson | 2 | $51 |
| Amgen(2 entities) | 4 | $46 |
| Bioventus LLC | 2 | $35 |
| Sanofi-aventis U.S. LLC | 2 | $27 |
| Atricure, Inc. | 1 | $20 |
| Access Pro Medical, LLC | 1 | $14 |
| Smith+Nephew | 1 | $14 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
Too few surgery of the hand providers in South Carolinato place this figure against a meaningful peer group, so we don't.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Gabapentin | 27 | $433 |
| Tramadol Hcl | 79 | $173 |
| Clindamycin Hcl | 12 | $102 |
| Prednisone | 37 | $88 |
| Oxycodone Hcl | 29 | $69 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Florence
- Nicholas WhiteFlorence$16K
- Manoucher TavanaCharleston$29K
- Milton ArmstrongCharleston$10K
- Mirsad MujadzicColumbia$10K
- Muamer MujadzicSumter$8K
- John McFaddenCharleston$6K
- Jason ClarkCharleston$3K
- Lawrence RudisillGreenville$2K
- David LukowskiLittle River$1K
- Jesse LewisMurrells Inlet$798
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.